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Congress repeals Medicare SGR formula; CHIP
extended for 2 years

Medscape
After 17 previous Congressional holding actions going back to Feb. 13, 2003, the Senate clinched the approval of a bipartisan bill that finally repeals Medicare's sustainable growth rate (SGR) formula for physician compensation and averts a 21% pay cut this year. The Senate vote was 92 to 8.

The House overwhelmingly approved the bill, called the Medicare Access and CHIP Reauthorization Act (MACRA), last month. Now the legislation goes to President Barack Obama, who has promised to sign it.
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Debate erupts over care of HIV patients on Medicaid; MHPA weighs in
Modern Healthcare
Patient advocacy groups and Medicaid officials sharply disagree on whether HIV/AIDS patients are receiving adequate access to specialists and medications as states increasingly shift this population from traditional Medicaid to Medicaid managed care.

Medicaid plans say HIV/AIDS patients are receiving appropriate care in their networks. "Medicaid health plans are committed to serving the unique health needs of those with HIV," said Jeff Myers, CEO of Medicaid Health Plans of America, which represents Medicaid plans. "States like California, Florida and New York have HIV specialty managed-care plans that provide all the same services as regular Medicaid, as well as those which support wellness like housing, peer support and legal assistance."

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Discounted hotel rooms for MHPA's DC Legislative Fly-In expires
Friday, April 17

MHPA
Join us for MHPA's Legislative Fly-In, scheduled May 11 and 12 at the Liaison Capitol Hill Hotel, to educate lawmakers on our industry and its key issues. Special guest speaker is Pennsylvania Sen. Pat Toomey. Book by Friday, April 17, to get the room discount.

Click here for reservation information.

For details, please contact Nikida Levy via email or by phone at 202-857-5720.

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Feds to probe impact of generic drug price increases on Medicaid
The Wall Street Journal
Following prodding from Congressional lawmakers, the Office of the Inspector General of the U.S. Department of Health & Human Services says it will conduct a new review of generic drug price increases on the Medicaid drug rebate program.
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Legislative leaders: Session likely headed for overtime over Florida
Medicaid impasse

Orlando Sentinel
Lawmakers will likely need a special session to resolve a deadlock between the House and Senate over healthcare spending, top lawmakers from the House and Senate said Wednesday. The House and Senate are $4.2 billion apart in their preferred budgets, mainly because the Senate includes a plan to expand Medicaid as well as a replacement for the Low Income Pool, a separate Medicaid program that pays hospitals for the care of low-income and uninsured patients. The House budget includes neither.
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New Jersey works to eliminate backlog of thousands of
Medicaid applications

NJ Spotlight
By most accounts, the state of New Jersey's Medicaid expansion has been a success — but not for the 9,000 to 12,000 residents still waiting for their applications to be processed. The botched rollout of a new Department of Human Services computer system and a fragmented, county-focused Medicaid application system have been blamed for the backlog.
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April 22 Webinar Wednesday: 'A Patient-Centered Approach to Hepatitis C Management'
Primrose Healthcare
As a result of new interferon‐free specialty drugs, a recent Drug Trend Report shows that the U.S. will spend 1,800 percent more on hepatitis C medications in 2016 than it did in 2013. Yet these drugs do nothing to address liver disease related to HCV or the challenges of managing a largely non‐adherent patient population.

Developing strategies for managing these issues is on the mind of every health plan executive. Please join Henri Cournand, president of Primrose Healthcare, as he explores a new model of care that combines best practices from population health and technology‐enabled medical management to create a patient‐centered approach to HCV management. This approach will address HCV itself as well as related liver disease and complications, from pre‐treatment to treatment and beyond.

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April 29 Webinar Wednesday: 'One Member, One Community, One Day at a Time: Guiding Principles for Person-Centered Care'
Project Transition
Focus on implementing organizational and individual change from a strength-based perspective with a focus on the concepts of "One Member, One Community, One Day at a Time." Join Luke Crabtree, chief executive officer at Project Transition, who will provide concepts and tools that support professionals working directly with persons with serious mental illness and co-occurring disorders, including the identification of strengths in the change implementation process and data use to show positive outcomes in behavioral health.
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Did you miss Webinar Wednesday: 'The Role of Medicaid Managed Care Organizations in State Innovation Models'?
MHPA
To request a copy of the presentation or for additional information, please contact Rupal D. Patel.

For copies of other past webinars, visit here.

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Job opportunity: RN, manager, prior authorization | Detroit
Aetna
Aetna seeks experienced RN with managed care, leadership and prior authorization expertise. Reinforces clinical philosophy, programs, policies and procedures. Ensures implementation of tactics to meet strategic direction for cost and quality outcomes. Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results. Identifies opportunities to implement best practice approaches and introduce innovations to better improve outcomes. Visit here and search for requisition #24937BR to learn more and apply.
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Job opportunity: Clinical director, Homecare & Managed Care
First Quality
First Quality, a leading manufacturer of disposable home healthcare products, is seeking a clinical director for our Homecare & Managed Care Business. This candidate will provide leadership and have a focus on clinical education, utilization management protocols and programs and operational program development within homecare and managed care markets.
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MHPA's Industry NewsBrief
Colby Horton, Vice President of Publishing, 469.420.2601
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Damon Sayles, Senior Editor, 469.420.2662   
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